A- 2D TOE showing mitral valve vegetations (arrow), B- 3D TOE surgical true view of the mitral valve showing vegetations (arrows), C-3D color flow Doppler showing mitral regurgitation jet (arrow). ALM, anterior leaflet of the mitral valve; LA, left atrium; LV, left ventricle; MR, mitral regurgitation; PLM, posterior leaflet of the mitral valve; TOE, transesophageal echocardiogram.